Diz Osteoartriti Olan Genç Ve Yaşlı Hastaların Ağrı Ve Fonksiyonlarında Ağrıyı Felaketleştirmenin Rolü

Öz

Amaç: Araştırmamız, diz osteoartriti (DOA) olan genç ve yaşlı yetişkinlerde ağrı felaketleştirme düzeyinin, ağrı şiddeti, DOA ile ilişkili semptomlar ve ağrı ile başa çıkma yöntemleri üzerindeki etkisini karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: Çalışmamıza 45-55 yaş veya 65-75 yaş aralığında DOA'lı 128 hasta dahil edildi. Genç ve yaşlı katılımcıların sosyodemografik verileri, WOMAC (Western Ontario and McMaster Universities Osteoarthritis İndeks) ve Zamanlı Kalk ve Yürü testi (ZKYT), aktivite sırasında ve istirahatte ağrı şiddeti, ağrı felaketleştirme düzeyleri ve ağrı ile başa çıkma skorları kaydedildi. Bulgular: KOA'lı genç hastaların ortalama yaşı 51,27±5,07 ve yaşlı hastaların ortalama yaşı 67,25±4,18 idi. KOA'lı yaşlı katılımcıların ağrı süresi daha uzun, WOMAC skorları daha yüksek ve ZKYT süreleri daha uzundu (p<0.005). KOA'lı genç hastaların ağrı felaketleştirme skorları ile aktivite sırasındaki ağrı şiddeti (r; 0,374), WOMAC skorları (r; 0,617) ve pasif başa çıkma yöntemleri (r; 0,450) arasında bir ilişki bulundu (p<0,001). KOA'lı yaşlı hastaların ağrı felaketleştirme skorları ile istirahatte ağrı şiddeti (r; 0,427), aktivite sırasındaki ağrı şiddeti (r; 0,530), ağrı süresi (r; 0,312), WOMAC skorları (r; 0,693) ve aktif ve pasif başa çıkma yöntemleri (sırasıyla r; 0,429, r; 0,299) arasında bir ilişki belirlendi (p<0,001). Sonuç: KOA'lı yaşlı hastalar, KOA'lı genç hastalardan daha fazla ağrılı uyarıları felaketleştirmektedir. Bu durum, hastaların ağrı şiddetini, ağrı ile başa çıkma yöntemlerini ve KOA ile ilişkili semptomları daha fazla etkilemektedir. Buna bağlı olarak, KOA'lı hastaların klinik takibinde ve rehabilitasyon yaklaşımlarının belirlenmesinde, yaşın artmasıyla birlikte hastaların ağrılı uyarılardan daha fazla etkilendiği ve bu durumun hastaların semptomlarını daha fazla etkilediği göz önünde bulundurulmalıdır.

Anahtar Kelimeler

• : Diz Osteoartriti
• Ağrı Felaketleştirme
• Mobilite
• Ağrı

The Role of Pain Catastrophizing in The Pain and Functions of Young and Older Patients with Knee Osteoarthritis

Öz

symptoms, and methods of coping with pain in young and older adults with knee osteoarthritis (KOA). Material and Methods: One hundred twenty-eight patients with KOA between the ages of 45-55 or 65-75 were included in our cross-sectional study. The sociodemographic data, WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), Time Up and Go Test (TUG), pain intensity during activity and rest, pain catastrophizing levels, and pain coping scores of young and older participants with KOA were recorded. Results: The mean age of young patients with KOA was 51.275.07 and older patients was 67.254.18 years. Older participants with KOA had longer pain durations, higher WOMAC scores, and longer TUG durations (p<0.005). There was a correlation between the pain catastrophizing scores of young patients with KOA and pain intensity during activity (r; 0.374), WOMAC scores (r; 0.617), and passive coping methods (r; 0.450) (p<0.001). A correlation was identified between the pain catastrophizing scores of older patients with KOA and pain intensity at rest (r; 0.427), pain intensity during activity (r; 0.530), pain duration (r; 0.312), WOMAC scores (r; 0.693), and active and passive coping methods (r; 0.429, r; 0.299, respectively) (p<0.001). Conclusion: Older patients with KOA catastrophize painful stimuli more than young patients with KOA. This affects patients' pain intensity, methods of coping with pain, and KOA-related symptoms more. Accordingly, in the clinical follow-up of patients with KOA and determining rehabilitation approaches, it is necessary to consider that as age increases, patients are more affected by painful stimuli, and this affects patients' symptoms more.

Anahtar Kelimeler

• Knee Osteoarthritis
• Pain Catastrophizing
• Mobility
• Pain
• Elderly

Kaynakça

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